NPI | 1407897911 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00010112) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AK 560) |
183500000X Pharmacist (Licence: HI 602) | |
Enumeration Date | 2006-06-08 |
Last Update Date | 2007-07-08 |