NPI | 1013231778 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 027973) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 01332200) |
Enumeration Date | 2010-03-23 |
Last Update Date | 2010-03-23 |