| NPI | 1114252350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S014772) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051035038) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |