| NPI | 1720686686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 700273) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 28115) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 28115) | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2021-01-12 |