| NPI | 1821706086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH86638) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 8065) |
| 183500000X Pharmacist (Licence: NV 23524) | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2023-07-07 |