NPI | 1588914592 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60310183) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0013340) |
Enumeration Date | 2012-09-17 |
Last Update Date | 2019-01-30 |