| NPI | 1588251805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: ID P9116) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: ID P9116) |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2022-06-10 |