| NPI | 1427447820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR rph-0013180) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH-60292137) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0013180) | |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2021-11-30 |