NPI | 1861711343 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NY 20 055127) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03258700) |
Enumeration Date | 2010-05-24 |
Last Update Date | 2011-08-11 |