| NPI | 1215287891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 51842) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH 3028) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2024-02-23 |