| NPI | 1285705608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA APH10731) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH40844) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2023-03-07 |