| NPI | 1154800407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 700302) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 26078) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2025-09-19 |