| NPI | 1245517150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 13190-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-034533) |
| Enumeration Date | 2011-11-05 |
| Last Update Date | 2011-11-05 |