| NPI | 1013117647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH55074) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26021364A) |
| Enumeration Date | 2007-07-22 |
| Last Update Date | 2020-12-29 |