| NPI | 1093341786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OR RPH-0008778) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WA PH00021102) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |