| NPI | 1548570195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OR 0009696) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 26714) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA 00009405) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |