| NPI | 1538705256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA RPH78493) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 78493) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2022-03-14 |