| NPI | 1922364264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S07891) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH 38451) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |