| NPI | 1023392131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051293737) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2009023426) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |