| NPI | 1356928329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OK 16167) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 103173) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2023-11-21 |