| NPI | 1598176356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 0014520) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA ca63769) |
| 183500000X Pharmacist (Licence: OR 0014520) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2017-04-26 |