| NPI | 1811369994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: OR RPH-0010358) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: ID P5672) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |