| 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 |