| NPI | 1144496530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 012107) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-288078) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |