NPI | 1881183465 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OH 03233792) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03233792) |
Enumeration Date | 2018-05-09 |
Last Update Date | 2023-07-04 |