| NPI | 1497278691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA RPH76263) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH76263) |
| 183500000X Pharmacist (Licence: NM RP00008859) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM RP00008859) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: NM RP00008859) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA RPH76263) | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-12-13 |