| NPI | 1346197605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835C0205X Pharmacist, Critical Care (Licence: MI 5302417933) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302417933) |
| Enumeration Date | 2026-03-14 |
| Last Update Date | 2026-03-14 |