| NPI | 1699121848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 37792) |
| Additional Taxonomies | 1835C0205X Pharmacist Critical Care (Licence: TX 37792) |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 37792) | |
| 1835P0200X Pharmacist Pediatrics (Licence: TX 37792) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: TX 37792) | |
| 1835X0200X Pharmacist Oncology (Licence: TX 37792) | |
| 1835P2201X Pharmacist Ambulatory Care (Licence: TX 37792) | |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |