| NPI | 1144689381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03338058) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 06013556) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2020-08-19 |