| NPI | 1083082143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.294737) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 62541) |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2015-09-07 |