| NPI | 1386965960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS47529) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS47529) |
| 1835P1300X Pharmacist, Psychiatric (Licence: KS 1-15290) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2021-11-15 |