NPI | 1881225159 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 24375) |
Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 24375) |
1835P2201X Pharmacist, Ambulatory Care (Licence: TX 24375) | |
Enumeration Date | 2020-01-27 |
Last Update Date | 2020-01-27 |