| NPI | 1588397079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835I0206X Pharmacist, Infectious Diseases (Licence: OH 03441994) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-07-03 |
| Last Update Date | 2025-04-27 |