| NPI | 1427069434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPh 39832) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 09117) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |