| NPI | 1679562581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS38957) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS38957) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302039147) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2012-04-10 |