| NPI | 1437940822 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835C0206X Pharmacist, Cardiology (Licence: MA PH25747) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: MA PH25747) |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-14 |