| NPI | 1477801066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IN 26023537A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202206395) |
| 183500000X Pharmacist (Licence: WV RP0006855) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |