| NPI | 1760245211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: RI RPH05597) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: RI RPH05597) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-07 |