| 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 |