| NPI | 1821345893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: CT PCT.0011656) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: PA RP447229) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CT PCT.0011656) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CT PCT.0011656) | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2015-08-16 |