NPI | 1396253894 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH80520) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60781058) |
Enumeration Date | 2018-01-18 |
Last Update Date | 2021-12-17 |