| NPI | 1992061048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR rph0007549) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 7549) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2017-05-04 |