| NPI | 1639172349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: SD R5920) |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: ND RPH5472) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: KS 1-13848) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: NC 15481) | |
| 1835X0200X Pharmacist Oncology (Licence: NC 15481) | |
| 1835X0200X Pharmacist Oncology (Licence: KS 1-13848) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2016-09-02 |