| NPI | 1730582818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: GA RPH 025089) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH025089) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2025-11-12 |