NPI | 1407278849 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0050658) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 053819) |
Enumeration Date | 2014-01-18 |
Last Update Date | 2014-01-18 |