| NPI | 1053663237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS26914) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS26914) |
| 1835N1003X Pharmacist, Nutrition Support (Licence: FL PS26914) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PS 26914) | |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2021-05-27 |