| NPI | 1760807226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 25082) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 25082) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: NC 25082) | |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2020-06-23 |