| NPI | 1619492972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NV 20163) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03237084) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2024-05-18 |