| NPI | 1275662173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302021893) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: MI 5302021893) |
| 1835N1003X Pharmacist, Nutrition Support (Licence: MI 5302021893) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: MI 5302021893) | |
| 1835X0200X Pharmacist, Oncology (Licence: MI 5302021893) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2025-09-11 |