| NPI | 1396966701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IL 051289618) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 19746) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |