| NPI | 1275690133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302025437) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.294009) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2013-02-26 |