| NPI | 1497354880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH0018483) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PI-0013024) |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2023-11-15 |