NPI | 1578629069 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: ID P6728) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH 00016378) |
1835P1200X Pharmacist, Pharmacotherapy (Licence: WA PH 00016378) | |
1835P1200X Pharmacist, Pharmacotherapy (Licence: ID P6728) | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2018-12-13 |