NPI | 1104120229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051294719) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60101467) |
Enumeration Date | 2011-01-04 |
Last Update Date | 2013-12-02 |