| NPI | 1164422713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051-286551) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IN 26016620A) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2007-07-08 |