| NPI | 1861494312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835C0205X Pharmacist, Critical Care (Licence: MA PH27202) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MO 2003000294) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MA PH27202) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: MA PH27202) | |
| 1835C0205X Pharmacist, Critical Care (Licence: MO 2003000294) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MO 2003000294) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2016-08-04 |