| NPI | 1427527258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 19569) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 49850) |
| 183500000X Pharmacist (Licence: NJ 28RI03345000) | |
| 183500000X Pharmacist (Licence: PA RP444463) | |
| 183500000X Pharmacist (Licence: DE A1-0003983) | |
| Enumeration Date | 2018-11-22 |
| Last Update Date | 2023-01-09 |