| 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 |