NPI | 1538575071 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM PC00000282) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00007426) |
Enumeration Date | 2014-07-04 |
Last Update Date | 2017-10-26 |