| NPI | 1669697876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 83992) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri03049600) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2025-09-16 |