NPI | 1497078778 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OR 13029) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00019467) |
183500000X Pharmacist (Licence: HI 3339) | |
183500000X Pharmacist (Licence: AK 2088) | |
Enumeration Date | 2010-03-01 |
Last Update Date | 2014-08-15 |