| NPI | 1689980807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 13418) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: NE 1004) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2020-11-12 |