| NPI | 1437480316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0011121) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 15475-040) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: OR BCPS 308009953) | |
| Enumeration Date | 2010-01-16 |
| Last Update Date | 2010-01-16 |