| NPI | 1437152071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NJ 28RI01573300) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2010-01-21 |