| NPI | 1700227063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0013594) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH-3542) |
| 183500000X Pharmacist (Licence: OR RPH-0013594) | |
| 183500000X Pharmacist (Licence: WA PH60392069) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KS 1-105103) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2022-05-02 |