| NPI | 1548801251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 786789) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 23666) |
| 183500000X Pharmacist (Licence: CA 786789) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 786789) | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2021-12-14 |