| NPI | 1003904426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 12650) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-040062) |
| 183500000X Pharmacist (Licence: CA 47436) | |
| 183500000X Pharmacist (Licence: FL PS30231) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |