| NPI | 1881046373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM PC00000273) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: IL 051-300229) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2022-09-01 |