| NPI | 1609854322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28R10744700) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NJ 28R10744700) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2023-07-26 |