| NPI | 1609009430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 62647) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 62647) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2021-12-20 |