| NPI | 1689998189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202209727) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT00001647) |
| 183500000X Pharmacist (Licence: NV 11096) | |
| 183500000X Pharmacist (Licence: WA PH00044799) | |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-03-26 |