| NPI | 1598271371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PS21491) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: FL PS21491) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS21491) | |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |