| NPI | 1164892931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0014826) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26022452A) |
| 183500000X Pharmacist (Licence: OR RPH-0014826) | |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2021-02-18 |