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 |