| NPI | 1801423629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: GA rph02689) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA rph026859) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-05-29 |