| NPI | 1598448847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM PC00000522) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00009981) |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2024-05-15 |