| NPI | 1477327666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 32771) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0015991) |
| 183500000X Pharmacist (Licence: NJ 28RI04348700) | |
| 183500000X Pharmacist (Licence: PA RP458266) | |
| 183500000X Pharmacist (Licence: NY 071351) | |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2024-05-10 |