| NPI | 1598861346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WI 13835-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP437956) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: WI 13835040) | |
| 183500000X Pharmacist (Licence: WI 13835040) | |
| 1835P1300X Pharmacist, Psychiatric (Licence: WI 4090508) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2013-09-09 |