| NPI | 1780130237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CO PHA.0021753) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP450962) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2018-10-18 |