| NPI | 1093092264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: HI 2714) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-286327) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |