NPI | 1174951784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057825) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP445355) |
183500000X Pharmacist (Licence: MD 17542) | |
183500000X Pharmacist (Licence: NJ 28RI03053400) | |
Enumeration Date | 2013-10-16 |
Last Update Date | 2024-05-24 |