NPI | 1609181684 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 19600) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OH 032249322) |
183500000X Pharmacist (Licence: IL 051288599) | |
183500000X Pharmacist (Licence: NJ 28RI02950400) | |
183500000X Pharmacist (Licence: PA RP045311L) | |
Enumeration Date | 2010-08-13 |
Last Update Date | 2022-10-05 |