| NPI | 1740692169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 44646) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26016745a) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |