NPI | 1417541574 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI04201500) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA PI121714) |
Enumeration Date | 2021-03-01 |
Last Update Date | 2021-09-09 |