| NPI | 1548778756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 0012505) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60210143) |
| 183500000X Pharmacist (Licence: OR RPH-0012505) | |
| 183500000X Pharmacist (Licence: MO 43155) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 12505) | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-11-19 |