NPI | 1144344086 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS30173) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02151300) |
Enumeration Date | 2007-03-17 |
Last Update Date | 2007-07-08 |