| NPI | 1285623629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM PC 109) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NM RP 6212) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2023-11-29 |