| NPI | 1508033259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA Rph57029) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 57029) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2024-10-15 |