| NPI | 1235667890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0015886) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 76492) |
| 183500000X Pharmacist (Licence: OR 0015886) | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2021-07-19 |