NPI | 1508075649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 032251-1) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02500700) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2007-07-08 |