| NPI | 1164727855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH60158616) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60158616) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2021-07-08 |