NPI | 1255984233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: MI 5302411660) |
Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302411660) |
Enumeration Date | 2019-07-19 |
Last Update Date | 2020-09-16 |