| NPI | 1770852063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 47123) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 47123) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2023-05-26 |