| NPI | 1023387081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 63351) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.290793) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |