| NPI | 1659918738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR69311) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH PHCY-00908) |
| Enumeration Date | 2019-12-07 |
| Last Update Date | 2023-12-20 |