NPI | 1841522679 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 053412-1) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03263900) |
Enumeration Date | 2010-02-04 |
Last Update Date | 2010-02-10 |