NPI | 1912269093 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH 00009806) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2012-06-13 |