| NPI | 1467820720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 73372) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NV 19027) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2021-11-23 |