| NPI | 1326447285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA 60761412) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 38536) |
| 183500000X Pharmacist (Licence: MS P13616) | |
| Enumeration Date | 2014-08-17 |
| Last Update Date | 2026-09-10 |