| NPI | 1881070274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TN 0000042451) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS e-13917) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2020-02-08 |