| NPI | 1942685755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI L5005009100908) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CT PCT.0013326) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2020-09-11 |