| NPI | 1013432772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WI 18913-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 18913-40) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2023-03-10 |