| NPI | 1316004385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051288705) |
| Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: CA 55576) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2011-10-17 |