| NPI | 1265571541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: CA RPH 29346) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH29346) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2025-09-11 |