| NPI | 1306274659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 11203) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 69843) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 69843) | |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2022-10-10 |