| NPI | 1821688599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS34129) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02068600) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-26 |