| NPI | 1437843489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0020394) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 87767) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2025-09-07 |