| NPI | 1245611235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 22464) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051298477) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2016-10-13 |