NPI | 1588932024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MA PH234580) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0012001) |
183500000X Pharmacist (Licence: WA PH60288107) | |
1835P2201X Pharmacist Ambulatory Care (Licence: MA PH234580) | |
Enumeration Date | 2011-12-13 |
Last Update Date | 2024-12-02 |