NPI | 1215760178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NV 007618) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NV 007618) |
1835C0205X Pharmacist, Critical Care (Licence: NV 007618) | |
Enumeration Date | 2024-08-24 |
Last Update Date | 2024-08-24 |