| NPI | 1841993565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 700623) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 72620) |
| 1835C0206X Pharmacist, Cardiology (Licence: NC 34174) | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2025-10-23 |