| NPI | 1225036205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 41697) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 41697) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 41697) | |
| 1835X0200X Pharmacist, Oncology (Licence: CA 41697) | |
| 1835N1003X Pharmacist, Nutrition Support (Licence: CA 41697) | |
| 1835G0303X Pharmacist, Geriatric (Licence: CA 41697) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2008-05-07 |