| NPI | 1700401825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208U00000X Clinical Pharmacology (Licence: OH 03839612) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 03839612) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2021-08-05 |