| NPI | 1063970929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0018166) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0018166) |
| 183500000X Pharmacist (Licence: ID P8885) | |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2023-04-05 |