NPI | 1649582875 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00042218) |
Additional Taxonomies | 183500000X Pharmacist (Licence: SC 8057) |
183500000X Pharmacist (Licence: FL PS27637) | |
Enumeration Date | 2010-07-02 |
Last Update Date | 2010-07-02 |