NPI | 1447626585 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061555) |
Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202214327) |
Enumeration Date | 2015-08-12 |
Last Update Date | 2016-06-26 |