NPI | 1447771076 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60674187) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0015930) |
Enumeration Date | 2017-07-05 |
Last Update Date | 2017-07-05 |