| NPI | 1386493096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM RP00007894) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: NM RP00007894) |
| 1835G0303X Pharmacist, Geriatric (Licence: NM 00007894) | |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |