| NPI | 1184903452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TN 35789) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS 11890) |
| 183500000X Pharmacist (Licence: TN 35789) | |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MS E-11890) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2020-03-11 |