| NPI | 1265196489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS62636) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PU9135) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |