| NPI | 1558690826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH60083961) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60083961) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: WA PH60083961) | |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2016-11-07 |