NPI | 1518489632 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03376100) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NE 15220) |
183500000X Pharmacist (Licence: PA RP450485) | |
Enumeration Date | 2017-07-11 |
Last Update Date | 2017-07-11 |