| NPI | 1730505165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist, Psychiatric (Licence: CA 70858) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 058795) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 70858) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 70858) | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2018-12-29 |