| NPI | 1881109122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03232655) |
| Additional Taxonomies | 1835C0205X Pharmacist Critical Care (Licence: OH 03232655) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2018-06-16 |