| NPI | 1447847140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 019491) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03337854) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2020-12-29 |