| NPI | 1316478399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28ri3702700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 24723) |
| 183500000X Pharmacist (Licence: NY 062608) | |
| 183500000X Pharmacist (Licence: TX 57964) | |
| 183500000X Pharmacist (Licence: VA 0202214953) | |
| 183500000X Pharmacist (Licence: NV 19255) | |
| 183500000X Pharmacist (Licence: PA 450442) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |