| NPI | 1184994592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E08917) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.293847) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |