NPI | 1619352911 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 72521) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NE 14589) |
183500000X Pharmacist (Licence: WA PH60643584) | |
1835P1200X Pharmacist, Pharmacotherapy (Licence: WA PH60643584) | |
Enumeration Date | 2015-07-28 |
Last Update Date | 2018-12-14 |