NPI | 1184950164 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 18944) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03303700) |
Enumeration Date | 2009-10-26 |
Last Update Date | 2009-11-09 |