| NPI | 1114783388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02213000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 1592675) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-27 |