NPI | 1902125651 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH236544) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02733000) |
Enumeration Date | 2010-05-20 |
Last Update Date | 2020-11-16 |