NPI | 1568132884 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 068807) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RJ12340) |
Enumeration Date | 2021-09-17 |
Last Update Date | 2022-02-01 |