| NPI | 1861691313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO PH043591) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MO PH043591) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: MO PH043591) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 16318) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: MO PH043591) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 16318) | |
| 1835X0200X Pharmacist, Oncology (Licence: NC 16318) | |
| 1835X0200X Pharmacist, Oncology (Licence: MO PH043591) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 16318) | |
| 183500000X Pharmacist (Licence: NC 16318) | |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2022-07-21 |