NPI | 1164718169 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0010750) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH 60115667) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2011-06-28 |