| NPI | 1841556065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TN 0000011181) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000081) |
| 183500000X Pharmacist (Licence: CO 19319) | |
| 183500000X Pharmacist (Licence: VA 0202208914) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |