| NPI | 1457762593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 69981) |
| Additional Taxonomies | 174H00000X Health Educator |
| 183500000X Pharmacist (Licence: CA 69981) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2019-03-28 |