| NPI | 1124569173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 1873940) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051300106) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |