| NPI | 1568445336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: NH 1788) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NH 1788) |
| Enumeration Date | 2005-11-24 |
| Last Update Date | 2025-09-11 |