| NPI | 1568956985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR69999) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME PI46432) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2021-01-29 |