| NPI | 1164735908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 26652) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 3131297) |
| 183500000X Pharmacist (Licence: IL 051294253) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2017-02-08 |