| NPI | 1891832416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MA PH24279) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 24279) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2024-09-16 |