| NPI | 1457480576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH00056147) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA ph00056147) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2022-07-13 |