| NPI | 1962961904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835C0205X Pharmacist, Critical Care (Licence: CT PCT.0013126) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0013126) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CT PCT.0013126) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-05-30 |