NPI | 1801924600 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00048407) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0009736) |
183500000X Pharmacist (Licence: CA RPH-37804) | |
183500000X Pharmacist (Licence: NV 08606) | |
Enumeration Date | 2007-03-01 |
Last Update Date | 2009-12-01 |