| NPI | 1629821855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835S0206X Pharmacist, Solid Organ Transplant (Licence: VA 0202222850) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 72627) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2026-05-14 |