| NPI | 1023405966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 70337) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 70337) |
| 1835G0303X Pharmacist Geriatric (Licence: CA 70337) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 70337) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |