| 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 |