| NPI | 1437297876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0015816) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ RI21173) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2024-02-22 |