| NPI | 1336603265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 79064) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 22051) |
| 183500000X Pharmacist (Licence: KS 1-116491) | |
| 183500000X Pharmacist (Licence: TX 64015) | |
| 183500000X Pharmacist (Licence: AZ S024357) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AZ SPCB002474) | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2021-12-20 |