NPI | 1326419219 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60569900) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS52297) |
Enumeration Date | 2015-10-17 |
Last Update Date | 2015-10-17 |