NPI | 1336468388 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CT 007610) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 025486-1) |
Enumeration Date | 2010-05-28 |
Last Update Date | 2010-05-28 |