| NPI | 1548657778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 58228) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: DC 7151730) |
| 1835G0303X Pharmacist, Geriatric (Licence: DC 9104879) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: DC 3151619) | |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2020-09-24 |