NPI | 1508542804 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OH 03331205) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03331205) |
Enumeration Date | 2023-06-22 |
Last Update Date | 2023-06-22 |