| NPI | 1992428841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 68276) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03440462) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |