| NPI | 1760798748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 3524) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: NH 3524) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2018-12-30 |