NPI | 1386063014 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH60771520) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60771520) |
Enumeration Date | 2014-04-09 |
Last Update Date | 2022-07-12 |