| NPI | 1043807514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA RPH88065) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH61071032) |
| 183500000X Pharmacist (Licence: CA RPH88065) | |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2024-05-08 |