| NPI | 1700760857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835C0205X Pharmacist, Critical Care (Licence: NM RP00010330) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: KS 1-106759) |
| 1835C0205X Pharmacist, Critical Care (Licence: MO 2024026600) | |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |