| NPI | 1811336894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH05274) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0012597) |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2022-12-27 |