| NPI | 1598608705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 63023) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: FL 63023) |
| Enumeration Date | 2026-04-13 |
| Last Update Date | 2026-04-13 |