| NPI | 1649409814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS44181) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS44181) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2019-11-18 |