NPI | 1992084685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055818) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02962800) |
Enumeration Date | 2011-08-11 |
Last Update Date | 2022-03-31 |