| NPI | 1073958807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH60369774) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA IR60099702) |
| 183500000X Pharmacist (Licence: WA PH60369774) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2023-05-01 |