NPI | 1427371939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 050651) |
Additional Taxonomies | 183500000X Pharmacist (Licence: SC 9464) |
183500000X Pharmacist (Licence: LA 16298) | |
Enumeration Date | 2010-03-11 |
Last Update Date | 2014-02-21 |