| NPI | 1851871701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 069026) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR69231) |
| 183500000X Pharmacist (Licence: IL 051301280) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2022-05-05 |