| 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 |