| NPI | 1881189082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 65979) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 23291) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-08-07 |