| NPI | 1609279215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR3569) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: ME PR3569) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: ME PR3569) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: ME PR3569) | |
| Enumeration Date | 2014-09-27 |
| Last Update Date | 2014-09-27 |