| NPI | 1215362306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH234912) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH05273) |
| Enumeration Date | 2013-09-07 |
| Last Update Date | 2013-09-08 |