| NPI | 1154985133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835I0206X Pharmacist, Infectious Diseases (Licence: NY 066123) |
| Additional Taxonomies | 174H00000X Health Educator |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2023-05-10 |