| NPI | 1679108997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WI 19528-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 19528-40) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IL 051.301812) | |
| 183500000X Pharmacist (Licence: IL 051.301812) | |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2026-07-14 |