| NPI | 1346665106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.296480) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST.020426) |
| 183500000X Pharmacist (Licence: GA RPH020101) | |
| 183500000X Pharmacist (Licence: AL 13591) | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |