| NPI | 1215210711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 29225) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-033507) |
| 183500000X Pharmacist (Licence: IN 26091877A) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-10-04 |