NPI | 1538540786 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 060101) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PR 6175) |
Enumeration Date | 2015-06-13 |
Last Update Date | 2015-06-13 |