| NPI | 1669814307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: GA RPH025690) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 7515) |
| 183500000X Pharmacist (Licence: GA RPH025690) | |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: SC 7515) | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |