| NPI | 1689154825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH238299) |
| 1835C0205X Pharmacist Critical Care (Licence: MA PH238299) | |
| 1835G0303X Pharmacist Geriatric (Licence: MA PH238299) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: MA PH238299) | |
| 1835P2201X Pharmacist Ambulatory Care (Licence: MA PH238299) | |
| 1835X0200X Pharmacist Oncology (Licence: MA PH238299) | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2024-03-28 |