| NPI | 1285362319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: PR 7000) |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: PR 5657-06) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2023-12-27 |