| NPI | 1396026878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051.295298) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 67306) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2015-11-02 |