| NPI | 1992286363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OH 03233569) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03233569) |
| 183500000X Pharmacist (Licence: KY 018239) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KY 018239) | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2022-05-25 |