NPI | 1508852518 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH 37957) |
Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: CA RPH 37957) |
Enumeration Date | 2005-09-25 |
Last Update Date | 2007-07-08 |