| NPI | 1447074067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TN 0000011764) |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MO 2001023909) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: TN 0000011764) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: MO 2001023909) | |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |