| NPI | 1316378474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051039867) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH019485) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |