| NPI | 1245935600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH200004498) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202220579) |
| 183500000X Pharmacist (Licence: MD 28568) | |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: DC PH200004498) | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-05 |