| NPI | 1982227625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 11097) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA Rph82332) |
| 1835C0206X Pharmacist, Cardiology (Licence: CA B10100599) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA B10100599) | |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2025-07-12 |