| NPI | 1659535862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AL 15822) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS T-12128) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2018-11-16 |