NPI | 1447578133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP441400) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03254700) |
Enumeration Date | 2010-05-05 |
Last Update Date | 2021-11-10 |