NPI | 1043608516 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051297655) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22699) |
Enumeration Date | 2015-01-06 |
Last Update Date | 2015-01-06 |