| NPI | 1609435296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: VA 0202213282) |
| Additional Taxonomies | 1835X0200X Pharmacist Oncology (Licence: VA 0202213282) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2023-08-11 |