| NPI | 1528659950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0013956-P) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |