| NPI | 1588929368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH60560581) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60560581) |
| 183500000X Pharmacist (Licence: OR 0013149) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2023-10-06 |