| NPI | 1598702755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302030798) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302030798) |
| 1835N1003X Pharmacist, Nutrition Support (Licence: MI 5302030798) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: MI 5302030798) | |
| 1835P1300X Pharmacist, Psychiatric (Licence: MI 5302030798) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2010-03-30 |