NPI | 1841993565 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835C0206X Pharmacist, Cardiology (Licence: NC 34174) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 72620) |
Enumeration Date | 2023-03-22 |
Last Update Date | 2025-08-26 |