| NPI | 1336523182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS53360) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: FL PS53360) |
| 183500000X Pharmacist (Licence: FL PS53360) | |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2026-02-03 |