| NPI | 1508185778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA rph39410) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 39410) |
| 183500000X Pharmacist (Licence: NV 8989) | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2018-06-06 |