| NPI | 1831792951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055197) |
| Additional Taxonomies | 1835C0205X Pharmacist Critical Care (Licence: NY 055197) |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NY 055197) | |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |