NPI | 1225215890 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 051591-1) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP439275) |
Enumeration Date | 2008-01-26 |
Last Update Date | 2008-01-26 |