| NPI | 1750531232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S0202478) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00007260) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM PC00000166) | |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2020-01-06 |