NPI | 1235859828 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: RI RPH06283) |
Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH06283) |
Enumeration Date | 2022-09-01 |
Last Update Date | 2025-07-22 |