| NPI | 1437682200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835C0205X Pharmacist, Critical Care (Licence: CT 14751) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: TN 40309) |
| 1835C0205X Pharmacist, Critical Care (Licence: SD R6465) | |
| 183500000X Pharmacist (Licence: TN 40309) | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2019-05-23 |