| NPI | 1457287773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835I0206X Pharmacist, Infectious Diseases (Licence: TX 43826) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 16856) |
| Enumeration Date | 2026-06-23 |
| Last Update Date | 2026-06-23 |