| NPI | 1992631428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835C0205X Pharmacist, Critical Care (Licence: CA 69971) |
| Additional Taxonomies | 1835P0200X Pharmacist, Pediatrics (Licence: CA 69971) |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-06-22 |