| NPI | 1144791435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM PC00000306) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00008928) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2020-09-03 |