| NPI | 1437331683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NY I049733-01) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 049733) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2022-01-24 |