| NPI | 1033736640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TN 44154) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 44154) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: TN 44154) | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2024-03-14 |