NPI | 1235482670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057446) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03484100) |
Enumeration Date | 2012-10-23 |
Last Update Date | 2012-10-23 |