NPI | 1053766378 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NC 25746) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CT 0010880) |
183500000X Pharmacist (Licence: NJ 28RI01906300) | |
183500000X Pharmacist (Licence: NY 036174) | |
Enumeration Date | 2016-04-25 |
Last Update Date | 2016-04-25 |