| NPI | 1205360344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 72591) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051298371) |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2017-04-15 |