| NPI | 1669899381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OH 03121019) |
| Additional Taxonomies | 1835P1300X Pharmacist Psychiatric (Licence: OH 03121019) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |