| NPI | 1497163844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 53993) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 53993) |
| 183500000X Pharmacist (Licence: NM rp00008070) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM RP00008070) | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2018-03-17 |