| NPI | 1316168669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 52556) |
| Additional Taxonomies | 1835C0205X Pharmacist, Critical Care (Licence: CA 52556) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 52556) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2025-05-18 |