| NPI | 1558450288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH40212) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 9210) |
| 183500000X Pharmacist (Licence: HI PH-2768) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-08-28 |