| NPI | 1285047837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S009582) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02837100) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |