| NPI | 1982721833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 7106) |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 7106) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: OR 7106) | |
| 183500000X Pharmacist (Licence: ID 7543) | |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2022-04-04 |