NPI | 1245524818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 044050) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP041341L) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2011-06-01 |