| NPI | 1518962182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 62291) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 62291) |
| 1835N1003X Pharmacist, Nutrition Support (Licence: CA 62291) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 62291) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2009-06-24 |