NPI | 1487267613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY i106568601) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 65686) |
Enumeration Date | 2020-08-27 |
Last Update Date | 2020-08-27 |