| NPI | 1366331803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 7789027) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: UT 7789027) |
| 1835E0208X Pharmacist, Emergency Medicine (Licence: UT 7789027) | |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |