| NPI | 1164727616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ 3121291) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0012650) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AZ S018261) | |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2020-03-18 |