| NPI | 1215767405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: LA PST.025418) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST.025418) |
| Enumeration Date | 2024-08-03 |
| Last Update Date | 2025-04-01 |