| NPI | 1275810194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 20124) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051294643) |
| Enumeration Date | 2011-11-06 |
| Last Update Date | 2011-11-06 |