| NPI | 1326904848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 4182) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH240744) |
| 1835C0205X Pharmacist, Critical Care (Licence: NH 4182) | |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2025-12-29 |