| NPI | 1992932719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 49276) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 35875) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |