| NPI | 1801428586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 76828) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: CA 7152556) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |