| NPI | 1669244828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH89295) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S026735) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2024-08-07 |