| NPI | 1972291367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CO PHA.0025537) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 20035) |
| 183500000X Pharmacist (Licence: CO 25537) | |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2026-06-01 |