| NPI | 1366724551 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR rph-0013850)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA ph00017370)  | 
| Enumeration Date | 2011-09-13 | 
| Last Update Date | 2015-12-31 |