NPI | 1164030672 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302412666) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302412666) |
Enumeration Date | 2020-07-21 |
Last Update Date | 2025-03-20 |