NPI | 1316071194 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03246500) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302035067) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2024-01-26 |