| NPI | 1912109570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH R2281) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: NH 20120568) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: NH R2281) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-02-11 |