NPI | 1952752149 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60871399) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0014602) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2022-11-24 |