| NPI | 1790375905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 65726) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0015102) |
| 183500000X Pharmacist (Licence: IL 051299865) | |
| 183500000X Pharmacist (Licence: AZ S024817) | |
| 183500000X Pharmacist (Licence: OH 03237372) | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |