| NPI | 1033663844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0018852) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 73412) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2022-05-11 |