| NPI | 1104128289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 26687) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 05486) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |