NPI | 1790308930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI04031400) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP453508) |
183500000X Pharmacist (Licence: CT PCT.0015186) | |
Enumeration Date | 2020-05-21 |
Last Update Date | 2022-10-06 |