NPI | 1801021589 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 052900) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 03071100) |
Enumeration Date | 2009-05-24 |
Last Update Date | 2010-03-16 |