NPI | 1619299773 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 051821) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS42693) |
183500000X Pharmacist (Licence: NJ 28RI03147900) | |
Enumeration Date | 2010-02-17 |
Last Update Date | 2010-02-21 |