| NPI | 1912993734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH0012717) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NV NV14071) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2015-12-31 |