| NPI | 1992803118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 15597) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: MD 15597) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MD 15597) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: MD 15597) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-12-23 |