NPI | 1245637594 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 060176) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03674900) |
Enumeration Date | 2014-12-02 |
Last Update Date | 2022-07-21 |