| NPI | 1659605038 |
|---|---|
| Other Name | MIKE PATIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 19191) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 000019191) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |