| NPI | 1538304928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: UT 6179983-1701) |
| Enumeration Date | 2008-12-13 |
| Last Update Date | 2008-12-13 |