NPI | 1265188650 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI04217000) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 067981) |
Enumeration Date | 2022-02-24 |
Last Update Date | 2022-05-15 |