| NPI | 1427394261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP446714) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 65742) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2020-09-15 |