| NPI | 1073877270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH60291979) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA IR60024675) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2022-07-28 |