| NPI | 1700341732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH026260) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH70318) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |