| NPI | 1851725915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR ORRPH-0013936) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P6866) |
| 183500000X Pharmacist (Licence: OR RPH-0013936) | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2016-01-03 |