| NPI | 1386927069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 63361) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 63361) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2016-05-12 |