| NPI | 1598380529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302412110) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2024-11-25 |