| NPI | 1528462009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: VA 0202213054) |
| Additional Taxonomies | 1835P0200X Pharmacist, Pediatrics (Licence: VA 0202213054) |
| 1835G0303X Pharmacist, Geriatric (Licence: VA 0202213054) | |
| 1835N1003X Pharmacist, Nutrition Support (Licence: VA 0202213054) | |
| 1835X0200X Pharmacist, Oncology (Licence: VA 0202213054) | |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2024-10-18 |