| NPI | 1376263848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835C0205X Pharmacist Critical Care (Licence: TN 43515) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: TN 43515) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-02 |