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 |