| NPI | 1356403018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 16835) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-035005) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2010-01-26 |