| NPI | 1720137680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: CA 45739) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 45739) |
| 1835X0200X Pharmacist, Oncology (Licence: CA 45739) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |