NPI | 1902073992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR rph0016207) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA 57199) |
Enumeration Date | 2008-05-09 |
Last Update Date | 2018-07-18 |