| NPI | 1902409592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: DC PH100001559) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |