| NPI | 1831702778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH81960) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 81960) |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2020-08-29 |