| NPI | 1508540444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH88202) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA INT46751) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-08-15 |