| NPI | 1154804185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NJ 28RI03970500) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |