| NPI | 1023324688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA 60187223) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0012323) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2020-01-13 |