| NPI | 1093009227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 042071) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051036945) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2015-07-05 |