| NPI | 1699121921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: UT 7366279-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 7366279-1701) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2023-05-05 |