| NPI | 1841861333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: OH 03440729) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03440729) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-10-30 |