| NPI | 1437874492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 78929) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 78929) |
| 1835P0200X Pharmacist, Pediatrics (Licence: CA 78929) | |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |