| NPI | 1467738021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH R1297) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH 03242) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2022-03-16 |