NPI | 1760821730 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0008792) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MO 027329) |
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 0008792) | |
Enumeration Date | 2013-06-22 |
Last Update Date | 2017-05-25 |