| NPI | 1427775303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835C0205X Pharmacist, Critical Care (Licence: AL 16819) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AL 16819) |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2022-10-21 |