| NPI | 1104163278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OK 13840) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 13840) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2026-01-13 |