| NPI | 1790490001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0019606) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH61327602) |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH61327602) | |
| 1835P2201X Pharmacist Ambulatory Care (Licence: WA PH61327602) | |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2025-05-21 |