NPI | 1578227807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61313046) |
Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH-4657) |
Enumeration Date | 2021-10-22 |
Last Update Date | 2022-10-02 |