| NPI | 1124391800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 13936-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.293967) |
| Enumeration Date | 2012-02-11 |
| Last Update Date | 2012-02-11 |