| NPI | 1962454116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NH 2195) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NH 2195) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-06-09 |