NPI | 1972917797 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 17557) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03139200) |
183500000X Pharmacist (Licence: NY 20 056332) | |
Enumeration Date | 2014-06-19 |
Last Update Date | 2014-06-19 |