| NPI | 1801646013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835E0208X Pharmacist, Emergency Medicine (Licence: MI 5302415764) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302415764) |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |