| NPI | 1932096765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH91657) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 50289) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-12-29 |