| NPI | 1780143073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH-80267) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0017072) |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2023-06-06 |