| NPI | 1811770738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0015872) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 75249) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |