| NPI | 1669009643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835C0205X Pharmacist, Critical Care (Licence: TX 63005) |
| Additional Taxonomies | 1835P0200X Pharmacist, Pediatrics (Licence: TX 63005) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 63005) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |