| NPI | 1134555600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OH 03441204) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26025332A) |
| 183500000X Pharmacist (Licence: IL 051296591) | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2025-11-02 |