| NPI | 1730496951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02833400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 16134) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH-0010387) | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2022-10-05 |