NPI | 1861711699 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 17099) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri03274000) |
Enumeration Date | 2010-05-18 |
Last Update Date | 2010-05-18 |