| NPI | 1144947318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835C0206X (Licence: KY 022866) |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KY 022866) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2025-08-29 |