| NPI | 1710337191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: TX 55073) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 55073) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 55073) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 55073) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2022-08-30 |