| NPI | 1285901447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051295405) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 14119) |
| 183500000X Pharmacist (Licence: AL 15212) | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |