NPI | 1447483623 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 037960) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH20704) |
Enumeration Date | 2009-09-03 |
Last Update Date | 2009-09-03 |