| NPI | 1083163018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 0012821) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR rph-0012821) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA 60708541) | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2024-01-25 |