| NPI | 1730662396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60899546) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH0016760) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR rph0016760) | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2022-07-13 |