NPI | 1376788059 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OR 8738) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00017453) |
Enumeration Date | 2008-12-09 |
Last Update Date | 2009-01-20 |