| NPI | 1992183040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: TN 37358) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TN 3153410) |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2024-03-14 |