| NPI | 1508468356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH05933) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT0014574) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-12-20 |