| NPI | 1780611335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 52113) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: IL 051288279) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-11-07 |