NPI | 1871257162 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0018684) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH61190496) |
Enumeration Date | 2021-10-24 |
Last Update Date | 2023-02-17 |