NPI | 1871924076 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NJ 28RI03361300) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NJ 28RI03361300) |
Enumeration Date | 2013-12-12 |
Last Update Date | 2013-12-12 |