| NPI | 1346797818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: PA RP452472) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0013678) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2018-12-24 |