| NPI | 1417274051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR rph-0011329) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: OR RPH-0011325) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0011329) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: OR RPH-0011329) | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2021-10-13 |