| NPI | 1659464212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH47350) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH-2257) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |