| NPI | 1790381135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 57818) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: TX 57818) |
| 1835P0200X Pharmacist, Pediatrics (Licence: TX 57818) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 57818) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX 57818) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |