| NPI | 1356884258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S022427) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 75838) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2021-12-06 |