| NPI | 1528419447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P7519) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-62955) |
| 183500000X Pharmacist (Licence: UT 9763995-1701) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: ID P7519) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: ID P7519) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-04-23 |