| NPI | 1417406828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0200X Pharmacist, Pediatrics (Licence: CA 65954) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 65954) |
| 1835C0205X Pharmacist, Critical Care (Licence: CA 65954) | |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-10-11 |