| 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 |