NPI | 1316338965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0014260) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA 60497937) |
Enumeration Date | 2015-02-17 |
Last Update Date | 2015-02-17 |