| NPI | 1528289709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MS e-09006) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-09006) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-01-13 |