NPI | 1033363106 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 051592) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 18145) |
Enumeration Date | 2008-11-15 |
Last Update Date | 2008-11-15 |