| NPI | 1265664916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 17254) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051040311) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2016-12-12 |