| NPI | 1992014542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NV 23317) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP445384) |
| 183500000X Pharmacist (Licence: OR RPH-0012419) | |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0012419) | |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: ID P10492) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: ID P10492) | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2023-07-05 |