NPI | 1720584055 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP442432) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02016400) |
Enumeration Date | 2018-04-04 |
Last Update Date | 2018-04-04 |