| NPI | 1194131227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WI 17462-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 17462 - 40) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2026-03-17 |