| 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 |