NPI | 1821508250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH70111) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS50813) |
Enumeration Date | 2017-10-12 |
Last Update Date | 2017-10-12 |