NPI | 1730445537 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: OR rph-001475) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA ph 000136) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2012-04-05 |