| NPI | 1194038497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 13861) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH03932) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2022-10-21 |