| NPI | 1235417650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OH 03233590) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: OH 03233590) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2021-10-14 |