| NPI | 1225039654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00040713) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0010235) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH00040713) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2022-04-29 |