| NPI | 1467798405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH04946) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH233036) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |