| NPI | 1093298895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0016587) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP444738) |
| 183500000X Pharmacist (Licence: OR RPH0016587) | |
| 183500000X Pharmacist (Licence: CO PHA0019379) | |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2020-04-20 |