| NPI | 1437276268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 034731) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28R102130300) |
| 183500000X Pharmacist (Licence: CT 7526) | |
| 183500000X Pharmacist (Licence: FL PS33751) | |
| 1835N0905X Pharmacist, Nuclear (Licence: FL NP232) | |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2007-07-08 |