| NPI | 1407277262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 46990) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS P07187) |
| Enumeration Date | 2013-12-21 |
| Last Update Date | 2013-12-21 |