| 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 |