| NPI | 1689814949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 26383) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH05206) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2020-12-11 |