| NPI | 1588942189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WY 3132161) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3477) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WY 3477) | |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2024-01-16 |