| NPI | 1659527513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: AZ S016703) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S016703) |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AZ S016703) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2022-09-12 |