| NPI | 1669772968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PI-0010074) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR PI-0010074) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |