| NPI | 1376852376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH60152161) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA ph60152161) |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2024-08-20 |