NPI | 1659985471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835N1003X Pharmacist, Nutrition Support (Licence: CA RPH64889) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH64889) |
Enumeration Date | 2020-08-31 |
Last Update Date | 2022-06-02 |