| NPI | 1629382593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM PC00000217) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00070717) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH00070717) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: WA PH 00070717) | |
| 183500000X Pharmacist (Licence: NM RP00007971) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2013-12-22 |