| NPI | 1265864482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 71822) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 71822) |
| 183500000X Pharmacist (Licence: FL PS50826) | |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS50826) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 71822) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: FL PS50826) | |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2020-07-08 |