| NPI | 1760771943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS60371) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MO 2013029800) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: MO 2013029800) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: MO 2013029800) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2021-06-11 |