| NPI | 1215258611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 18253) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-033254) |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2014-07-13 |