| NPI | 1245597533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 65637) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 18222) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 65637) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2024-12-09 |