| NPI | 1043826530 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0018021) | 
| Enumeration Date | 2020-09-20 | 
| Last Update Date | 2020-09-20 |