| NPI | 1104174705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03508000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 74409) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2025-05-22 |