| NPI | 1144477811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 048364) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02695800) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |