| NPI | 1548018682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH PHCY-01667) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0135288) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-22 |