| NPI | 1801318118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NJ 28RI03168300) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: PA RP450329) |
| 1835G0303X Pharmacist, Geriatric (Licence: KY 018404) | |
| 1835G0303X Pharmacist, Geriatric (Licence: IA 22688) | |
| 1835G0303X Pharmacist, Geriatric (Licence: TN 38888) | |
| 1835G0303X Pharmacist, Geriatric (Licence: ID P7654) | |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |