| NPI | 1801442918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: ID P9185) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH61063850) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 62801) | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2022-12-06 |