NPI | 1568747863 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: ID p6342) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH 60118943) |
Enumeration Date | 2011-10-18 |
Last Update Date | 2011-10-18 |