| NPI | 1992326300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835C0205X Pharmacist, Critical Care (Licence: OH 03229742) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OH 03229742) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |