| NPI | 1730340258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: PA RP445252) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 4679) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: PR 4679) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2022-07-15 |