| NPI | 1528517471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM pc00000265) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM rp00008226) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2023-07-21 |