| NPI | 1942579651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH038238) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 10282-40) |
| Enumeration Date | 2011-12-26 |
| Last Update Date | 2011-12-26 |