NPI | 1033492558 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28ri03322500) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056688) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2017-04-18 |