| NPI | 1881966612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: OR RPH-0010359) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S013694) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0010359) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH00042760) | |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2023-06-19 |