| NPI | 1326631078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 11298) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 82894) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 82894) | |
| Enumeration Date | 2021-02-13 |
| Last Update Date | 2025-07-22 |