NPI | 1891910493 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28ri02248200) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps30911) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2007-07-08 |