| NPI | 1912362302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 7627) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0007627) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2016-10-04 |