| NPI | 1922329309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0013459) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH32459) |
| 183500000X Pharmacist (Licence: OR RPH 0013459) | |
| 183500000X Pharmacist (Licence: NV 07265) | |
| 183500000X Pharmacist (Licence: WA PH 00011134) | |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2015-12-18 |