| NPI | 1497392450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 11190) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 80893) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2023-06-08 |