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 |