NPI | 1275717381 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 000161) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302035079) |
Enumeration Date | 2007-12-26 |
Last Update Date | 2007-12-26 |