NPI | 1215013230 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28r102239000) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 042736) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2020-12-04 |