NPI | 1376882068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OH 031299951) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 031299951) |
Enumeration Date | 2013-01-31 |
Last Update Date | 2020-12-03 |