NPI | 1760749410 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 20291) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056550) |
Enumeration Date | 2012-04-19 |
Last Update Date | 2012-04-19 |