| NPI | 1265956726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835E0208X Pharmacist, Emergency Medicine (Licence: CT PCT.0015438) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR69639) |
| 183500000X Pharmacist (Licence: ID P8453) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CT PCT.0015438) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME PI45593) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2024-01-25 |