| NPI | 1649141177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0020708) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PHRM.PH.70046404) |
| 183500000X Pharmacist (Licence: OR RPH-0020708) | |
| 183500000X Pharmacist (Licence: WA PHRM.PH.70046404) | |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2026-05-27 |