| NPI | 1699177238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH100000832) |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: DC PH100000832) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: DC PH100000832) | |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |