NPI | 1215088778 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 2009300) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02009300) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-07-22 |