NPI | 1760793319 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MD 20764) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 20764) |
Enumeration Date | 2010-06-29 |
Last Update Date | 2022-07-21 |