| NPI | 1649793183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S025773) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0016312) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0016312) | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2022-05-04 |