| NPI | 1639627359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 74986) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 74986) |
| 1835P1300X Pharmacist, Psychiatric (Licence: CA 74986) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 74986) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2021-12-13 |