NPI | 1588036685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0014361) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA 60277645) |
Enumeration Date | 2015-10-28 |
Last Update Date | 2015-10-28 |