| NPI | 1902214893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA rph 68277) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 68277) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2025-07-03 |