| NPI | 1316368186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0016702) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 80588) |
| 183500000X Pharmacist (Licence: OR RPH-0016702) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH60865032) | |
| 183500000X Pharmacist (Licence: WA PH60865032) | |
| Enumeration Date | 2013-12-22 |
| Last Update Date | 2023-11-16 |