| NPI | 1740710219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CO 19580) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0019580) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-03-17 |