| NPI | 1164740643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02932100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP040224L) |
| Enumeration Date | 2010-05-09 |
| Last Update Date | 2010-05-09 |