| NPI | 1679726301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PU8697) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL 3158217) |
| 183500000X Pharmacist (Licence: FL PS56254) | |
| Enumeration Date | 2008-10-26 |
| Last Update Date | 2026-08-03 |