| NPI | 1538712286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0016822) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 0016822) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: OR 0016822) | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |