NPI | 1295035566 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60359422) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AK 1983) |
Enumeration Date | 2010-11-02 |
Last Update Date | 2018-11-30 |