| NPI | 1720074180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 011178) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH022566) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: VA 0202210401) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2014-06-06 |