| NPI | 1407210792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS16864) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL OS16864) | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2024-02-22 |