| NPI | 1316534951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH83548) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 83548) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2022-01-15 |