| NPI | 1316090046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: HI PH 2262) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH 49139) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 11527) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2017-04-26 |