NPI | 1851666770 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00009053) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S018416) |
Enumeration Date | 2012-03-09 |
Last Update Date | 2012-03-09 |