| NPI | 1033539390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 14824-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051292717) |
| 183500000X Pharmacist (Licence: VA 0202208248) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |