NPI | 1205941200 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051.037278) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MI 5302025189) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2007-07-08 |