| NPI | 1730366741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM PC00000159) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM 5294) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-12-29 |