| NPI | 1144486259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 051377) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-288560) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |