| NPI | 1922383082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IA 14802) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH015949) |
| 183500000X Pharmacist (Licence: PA RP438147) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TN 12233) | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2012-11-21 |