| NPI | 1144472234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0010585) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CT PCT.0010585) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CT 0010585) | |
| 1835G0303X Pharmacist, Geriatric (Licence: CT CT.0010585) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2026-06-13 |