| NPI | 1497055230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TN 11508) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 11508) |
| 183500000X Pharmacist (Licence: MS 08642) | |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2020-02-14 |