NPI | 1619336807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA IR60319698) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA IR60319698) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2018-08-15 |