NPI | 1932474194 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28ri01129400) |
Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: NJ 28RI01129400) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2012-03-20 |