| NPI | 1043743636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 57283) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 57283) |
| 1835I0206X Pharmacist, Infectious Diseases (Licence: TX 57283) | |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2023-06-14 |