| NPI | 1932187796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 09370) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP041929R) |
| 183500000X Pharmacist (Licence: NJ 28R102927900) | |
| 183500000X Pharmacist (Licence: DC PH2367) | |
| 183500000X Pharmacist (Licence: DE A1-0003274) | |
| 183500000X Pharmacist (Licence: VA 0202011681) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2007-07-08 |