| NPI | 1033323134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP043575R) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02536400) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |