| NPI | 1427361237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 22036) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03230096) |
| 183500000X Pharmacist (Licence: NC 22036) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2023-03-01 |