| NPI | 1144612433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OH rph.03333878) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2026-05-02 |