| NPI | 1891319307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH85358) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302043089) |
| Enumeration Date | 2020-05-31 |
| Last Update Date | 2021-10-06 |