| NPI | 1588017727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH60799926) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR45384) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2021-06-15 |