| NPI | 1518567544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: GA 021840) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH021840) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2026-05-27 |