NPI | 1114927423 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051034213) |
Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IL 051034213) |
224L00000X Pedorthist (Licence: IL 212000160) | |
Enumeration Date | 2005-07-28 |
Last Update Date | 2016-07-13 |