| NPI | 1679584643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MO 044883) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 044883) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2016-11-30 |