| NPI | 1508219676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MO 2015029079) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KS 1-16852) |
| 1835P1300X Pharmacist, Psychiatric (Licence: KS 1-16852) | |
| 1835P1300X Pharmacist, Psychiatric (Licence: MO 2015029079) | |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2022-04-08 |