NPI | 1851664825 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60232482) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0006572) |
Enumeration Date | 2012-02-21 |
Last Update Date | 2012-02-21 |