NPI | 1376230870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 88349) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 44959) |
Enumeration Date | 2023-04-24 |
Last Update Date | 2023-10-11 |