| NPI | 1215377544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH60343873) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60343873) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2022-07-12 |