| NPI | 1376827949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD06423) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH42548) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |