| NPI | 1306194410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 69696) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S019805) |
| 183500000X Pharmacist (Licence: CA 10659) | |
| 183500000X Pharmacist (Licence: CA 69696) | |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2024-05-17 |