| NPI | 1245388560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 11793) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051288673) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2011-11-08 |