| NPI | 1528496585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH60238902) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 6699099-1701) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-11-01 |