| NPI | 1932200813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPh 43006) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ RPh 9457) |
| 183500000X Pharmacist (Licence: HI PH 2472) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-10 |