| NPI | 1598167991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH PHCY-00973) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR70617) |
| 183500000X Pharmacist (Licence: AZ s020900) | |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2023-11-10 |