| NPI | 1245987742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS65952) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS65952) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2024-03-22 |