| NPI | 1821642182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PS59533) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: FL PS59533) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2023-11-07 |