| NPI | 1346066776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 73983) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: CA 7151412) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |