NPI | 1164719902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0011785) |
Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR ORRPH-0011785-P) |
Enumeration Date | 2011-06-30 |
Last Update Date | 2016-03-04 |