| NPI | 1205567856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH237016) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH237016) |
| 208U00000X Clinical Pharmacology (Licence: MA PH237016) | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |