| NPI | 1437462231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ S017989) |
| Additional Taxonomies | 1835E0208X Pharmacist, Emergency Medicine (Licence: AZ S017989) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2026-04-02 |