| NPI | 1598031106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 34253) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TN 34253) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: TN 34253) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2025-11-19 |