| NPI | 1598135964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0014189) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: OR RPH-0014189) |
| 183500000X Pharmacist (Licence: OR 0014189) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: OR RPH-0014189) | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2017-12-20 |