| NPI | 1447665294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03233674) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26026312A) |
| 183500000X Pharmacist (Licence: KY 019709) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-10-19 |