NPI | 1740276195 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH38728) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA PHY43751) |
Enumeration Date | 2005-09-21 |
Last Update Date | 2017-07-18 |