NPI | 1659668267 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 61808) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA-18598) |
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 61808) | |
Enumeration Date | 2011-07-03 |
Last Update Date | 2011-07-03 |