| NPI | 1659826527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: ID P7592) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P7592) |
| 183500000X Pharmacist (Licence: KY 018693) | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2026-06-20 |