| NPI | 1124577135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OR RPH-0016134) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IN 26026755A) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 59279) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: WA PH60863182) | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2018-08-27 |