| NPI | 1659678605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18324) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 70608) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2023-08-08 |