| NPI | 1538255187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 0070-00398) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 18332) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-01-18 |