| NPI | 1881365369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 85951) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0015647) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2024-01-12 |