| NPI | 1295592046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03443541) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 24750) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |