| NPI | 1912282088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR ORRPH0012734) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OR 0012734) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2017-04-26 |