| NPI | 1750150389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH54881) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S018722) |
| 183500000X Pharmacist (Licence: AL 21226) | |
| 183500000X Pharmacist (Licence: AR PD11895) | |
| 183500000X Pharmacist (Licence: NE 14035) | |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2023-12-22 |