| NPI | 1336492180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH00053022) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP438819) |
| 183500000X Pharmacist (Licence: WA PH00053022) | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2019-03-04 |