| NPI | 1558690586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH60082152) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60082152) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2017-06-06 |