| NPI | 1750638177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA RPH-72898) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA RPH-72898) |
| 183500000X Pharmacist (Licence: MO 2012023178) | |
| 183500000X Pharmacist (Licence: CO pha.0020220) | |
| 183500000X Pharmacist (Licence: CA RPH-72898) | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2024-02-11 |