| NPI | 1174848766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 042019) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.033824) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |