| NPI | 1003266974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0015460) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KS 1-13151) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-09-05 |