| NPI | 1427205830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0011383) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 11383) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: WA PH60205670) | |
| 183500000X Pharmacist (Licence: HI PH-3267) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2016-10-01 |