| NPI | 1073249041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OH 03439953) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03439953) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2024-10-03 |