| NPI | 1538783675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 66097) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: FL PS52005) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |