| NPI | 1821357344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: LA 00) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 00) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: LA 00) | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2025-06-14 |