| NPI | 1871314849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 24027) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 88879) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |