NPI | 1477914257 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: NY 061390) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: IN 26025526A) |
Enumeration Date | 2016-03-08 |
Last Update Date | 2016-03-08 |