| NPI | 1750609814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60163314) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 6302) |
| 183500000X Pharmacist (Licence: OR RPH-0013019) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0013019) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: WA PH60163314) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2015-12-18 |