| NPI | 1427483528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH-00046803) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0010028) |
| 183500000X Pharmacist (Licence: WA PH-00046803) | |
| Enumeration Date | 2013-09-08 |
| Last Update Date | 2025-05-21 |