| NPI | 1699565119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835C0205X Pharmacist, Critical Care (Licence: NY 070432) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: PA RP456838) |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |