| NPI | 1073020947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S023077) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH78037) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |