| NPI | 1417519240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0017509) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PI-0012356) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2023-08-29 |