| 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 | 174H00000X Health Educator (Licence: RI RPH04819) |
| 163WD0400X Registered Nurse Diabetes Educator (Licence: RI RPH04819) | |
| 183500000X Pharmacist (Licence: RI RPH04819) | |
| 183500000X Pharmacist (Licence: MA PH232913) | |
| 1835P2201X Pharmacist Ambulatory Care (Licence: RI RPH04819) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2025-08-28 |