| NPI | 1245330257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH 53230) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117004-9) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |