| NPI | 1336399351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 45964) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 052377-1) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2015-07-06 |