| NPI | 1699113290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 51511) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: CA 51511) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 51511) | |
| 1835X0200X Pharmacist, Oncology (Licence: CA 51511) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |