| NPI | 1699658922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 90260) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: CA 90260) |
| 1835E0208X Pharmacist, Emergency Medicine (Licence: CA 90260) | |
| 1835I0206X Pharmacist, Infectious Diseases (Licence: CA 90260) | |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-07-25 |