| NPI | 1013325679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MA PH235300) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MA PH235300) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: RI RPH05379) | |
| 183500000X Pharmacist (Licence: MA PH235300) | |
| 183500000X Pharmacist (Licence: RI RPH05379) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: RI RPH05379) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2024-02-15 |