| NPI | 1306247978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH71508) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ s020785) |
| Enumeration Date | 2014-09-14 |
| Last Update Date | 2022-07-21 |