| NPI | 1164806303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 75085) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26025600A) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2019-11-12 |