NPI | 1437554003 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S020999) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60484915) |
Enumeration Date | 2014-10-24 |
Last Update Date | 2015-05-12 |