| NPI | 1073953436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057857) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS38479) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |