NPI | 1033436894 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 046045-1) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MD 18943) |
Enumeration Date | 2010-05-03 |
Last Update Date | 2013-01-02 |