| NPI | 1245686294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH41310) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH1086) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |