| NPI | 1689331829 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0018236)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0018236)  | 
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: OR 3165645)  | |
| Enumeration Date | 2021-11-23 | 
| Last Update Date | 2021-12-03 |