| NPI | 1134141567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH39775) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH015228) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |