| NPI | 1588751390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ S015683) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 15683) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AZ S015683) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-11-26 |