| NPI | 1033419379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH0066745) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT Ph5292) |
| 183500000X Pharmacist (Licence: WA PH00066745) | |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2018-06-25 |