| NPI | 1396169553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 16198-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.294157) |
| 183500000X Pharmacist (Licence: MO 2013013766) | |
| Enumeration Date | 2014-02-08 |
| Last Update Date | 2014-02-08 |