NPI | 1851807754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NJ 28RI02514600) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02514600) |
Enumeration Date | 2017-12-14 |
Last Update Date | 2017-12-14 |