| NPI | 1184608234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 29391) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 29391) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: TX 29391) | |
| 1835G0303X Pharmacist Geriatric (Licence: TX 29391) | |
| 1835N1003X Pharmacist Nutrition Support (Licence: TX 29391) | |
| 1835P1300X Pharmacist Psychiatric (Licence: TX 29391) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2012-02-08 |