| NPI | 1194590802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA rhp71025) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: CA 7152907) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 3161324) | |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |