| NPI | 1508148040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055589) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03298500) |
| Enumeration Date | 2011-09-11 |
| Last Update Date | 2011-09-11 |