NPI | 1295904407 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 050559) |
Additional Taxonomies | 183500000X Pharmacist (Licence: DE aA1-0003895) |
Enumeration Date | 2008-02-21 |
Last Update Date | 2011-04-12 |