| NPI | 1699083436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 700404) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 17187) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2022-10-31 |