| NPI | 1366193906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835C0205X Pharmacist Critical Care (Licence: NV 19334) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 19334) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: NV 19334) | |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-14 |