| NPI | 1578773529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: GA RPH024031) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV rp0006794) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-06-27 |