| NPI | 1659645596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0012468) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0012468) |
| 183500000X Pharmacist (Licence: AZ S018186) | |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2017-04-25 |