| NPI | 1942446638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WA PH00070050) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00070050) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2013-12-05 |