| NPI | 1912277526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: PA RP445541) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP44551) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2025-07-03 |