NPI | 1245219682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051-289654) |
Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: IL 051-289654) |
1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051-289654) | |
Enumeration Date | 2006-01-13 |
Last Update Date | 2007-07-08 |