| NPI | 1952244337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835E0208X Pharmacist, Emergency Medicine (Licence: MI 5302042116) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: MI 5302042116) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: MI 5302042116) | |
| Enumeration Date | 2026-04-11 |
| Last Update Date | 2026-04-11 |