NPI | 1568605251 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60227234) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: WA PH60227234) |
Enumeration Date | 2009-04-11 |
Last Update Date | 2016-11-14 |