NPI | 1386929818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH 60274917) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NV 17917) |
Enumeration Date | 2011-10-16 |
Last Update Date | 2014-01-30 |