| NPI | 1447553599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 700109) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 17211) |
| 1835P2201X Pharmacist Ambulatory Care (Licence: NC 17211) | |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2023-01-19 |