| NPI | 1629209655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03129454) |
| Additional Taxonomies | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OH 3129454) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: OH 3129454) | |
| Enumeration Date | 2009-08-08 |
| Last Update Date | 2018-09-29 |