| NPI | 1396222576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 76901) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: CA 76901) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 76901) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2021-11-23 |