| NPI | 1982052015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist Psychiatric (Licence: AL 16264) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 16264) |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AL 16264) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2018-08-17 |