| NPI | 1982789186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 10042) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 37953) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2024-07-30 |