| NPI | 1881096402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0014537) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0014537) |
| 183500000X Pharmacist (Licence: WA PH60487700) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH60487700) | |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2024-01-28 |