| NPI | 1457644627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0013215) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2017-04-20 |