| NPI | 1588256127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835C0205X Pharmacist Critical Care (Licence: TN 46036) |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CO 19130) |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2022-10-17 |