| NPI | 1467998096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: CA F8342620) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA F8342620) |
| 146D00000X Personal Emergency Response Attendant (Licence: CA F8342620) | |
| 246X00000X Spec/Tech, Cardiovascular (Licence: CA F8342620) | |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |