NPI | 1881092773 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH-60268508) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 10320-40) |
Enumeration Date | 2014-12-09 |
Last Update Date | 2014-12-09 |