| NPI | 1225201197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 60330) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH-2712) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 60330) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: HI PH-2712) | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2023-03-07 |