| NPI | 1639910755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835I0206X Pharmacist, Infectious Diseases (Licence: CO 20908) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 20908) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |