NPI | 1275015992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60866123) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 17711-40) |
183500000X Pharmacist (Licence: IL 051300254) | |
Enumeration Date | 2018-08-29 |
Last Update Date | 2018-08-29 |