| NPI | 1396113445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0016846) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60896956) |
| 183500000X Pharmacist (Licence: OR RPH-0016846) | |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2022-09-09 |