NPI | 1518121995 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA P460236329) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS43661) |
183500000X Pharmacist (Licence: CO PHA-18417) | |
Enumeration Date | 2008-07-15 |
Last Update Date | 2011-08-04 |