| NPI | 1053603738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0010534) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00020598) |
| 183500000X Pharmacist (Licence: OR RPJ-0010534) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0010534) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2023-07-21 |