| NPI | 1992728703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 43521) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA RPH 43521) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-07-11 |