| NPI | 1114969615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH00016959) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA ph00016959) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2022-07-19 |