NPI | 1588107338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH61100246) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA IR60602871) |
Enumeration Date | 2016-11-28 |
Last Update Date | 2022-02-04 |