NPI | 1326767542 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302412728) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MI 5302412728) |
Enumeration Date | 2022-08-22 |
Last Update Date | 2023-01-19 |