Wrong forum, it will probably be moved to the HALP! forum. I'm a warrior not a pally, so I gear like you but I don't know the rotations and such so I can't answer those.
As far as gearing improvements:
225 armor to cloak
Regem the chest to all +30 stam gems, enchant with 275 HPs
Weapon - Probably enchant with mongoose or blood draining
Trinkets: get another trinket besides ony blood talis. Glyph of Indom or the black heart are acceptable alternatives.
Legs - change the 10str/15 stam gem to a 10agi/15 stam gem.
Other than that gearing seems fairly decent.
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