| NPI | 1467826800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH73876) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 73876) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2025-05-05 |