| NPI | 1912655515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: ME PR70532) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PI46890) |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2022-06-30 |