NPI | 1730446881 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NJ 28RI02136400) |
Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: NY 029010-1) |
Enumeration Date | 2012-04-13 |
Last Update Date | 2012-04-13 |