| NPI | 1649793902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: NH 4150970) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NH 4150970) |
| 183500000X Pharmacist (Licence: NH 4196) | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2025-10-09 |