| NPI | 1821535840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60671067) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0015760) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 0015760) | |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2018-07-17 |