NPI | 1659888709 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 063711) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri03532700) |
Enumeration Date | 2018-01-10 |
Last Update Date | 2018-03-17 |