NPI | 1851878607 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH237712) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03936700) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2018-07-24 |