| NPI | 1467730689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 64628) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WA PH60157459) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 64628) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2022-07-15 |