| NPI | 1992014757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0012572) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 1967) |
| 183500000X Pharmacist (Licence: OR RPH-0012572) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 0012572) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2025-02-13 |