NPI | 1063795961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WI 13021) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051291658) |
Enumeration Date | 2011-09-27 |
Last Update Date | 2016-02-09 |