| NPI | 1821439118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH33452) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 18323) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |