NPI | 1356697411 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00069013) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 10836) |
Enumeration Date | 2012-07-26 |
Last Update Date | 2012-07-26 |