| NPI | 1588893895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: RI RPH04819) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH04819) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MA ph232913) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2021-11-03 |