| NPI | 1437720638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 700445) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: OR RPH-0018431) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 29592) | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2024-05-15 |