| NPI | 1043533847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2007027809) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.287540) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |