NPI | 1730356304 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00064767) |
Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH00064767) |
1835P2201X Pharmacist, Ambulatory Care (Licence: WA Ph00064767) | |
Enumeration Date | 2008-05-13 |
Last Update Date | 2022-11-09 |