| NPI | 1023205291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 55055) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 55055) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2024-03-17 |