NPI | 1093038903 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 44313) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NV 12232) |
Enumeration Date | 2010-03-05 |
Last Update Date | 2010-03-05 |