| NPI | 1023370095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 14299) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03308853) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |