| NPI | 1689191363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: SD 5827) |
| Additional Taxonomies | 1835C0205X Pharmacist Critical Care (Licence: SD 5827) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-07-21 |