| NPI | 1316482409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 80282) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND RPh5921) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2020-01-17 |