| NPI | 1417639808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ S016797) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: AZ S016797) |
| 183500000X Pharmacist (Licence: AZ S016797) | |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-12-04 |