| NPI | 1053374777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 029363) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.030912) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-08 |